What are some common knowledge about hemangiomas?

Hemangiomas and vascular malformations are the most common benign pediatric tumors in plastic surgery. Generally speaking, the growth period is within one year of age, and after one year of age, the growth gradually stops and goes into the degenerative stage, and the tumor gradually disappears. Overall, this tumor-like hemangioma should eventually regress, but if left untreated, the end result will be different, and many complications can occur in the growth period of one year: (1) ulceration: it usually occurs at the peak of the proliferative period and the site of local tension, and it can be secondary to infection on the basis of ulceration. (2) Obstruction: compression of the relevant channels, causing the corresponding symptoms of obstruction. Eyelid hemangioma can cause amblyopia or developmental disorders of eye vision (astigmatism, myopia, strabismus, etc.); (3)Bone deformation: the tumor body squeezes the neighboring bones, which can cause the nasal profile to be oblique, skull depression, and enlargement of orbital area. (4) Bleeding: punctate spontaneous bleeding is not uncommon. Combined with thrombocytopenia, it can cause acute hemorrhage, which is life-threatening. In addition to the impact on the child’s body and aesthetics, it will also affect the child’s mental health. Therefore, we advocate early treatment during the growth period of hemangioma. Different hemangioma treatment methods are different, and reasonable treatment methods can achieve the effect of both treatment and beauty. 1.Hormone + oral propranolol treatment is effective for all hemangiomas, especially suitable for those hemangiomas which cannot be removed by surgery and cannot be treated by laser, such as those in large area, multiple parts and special parts. 2.Surgical excision treatment Plastic surgery has its unique advantages, the incision line design is skillful and reasonable before operation, which makes the surgical incision hidden and small, the operation is operated by extremely fine plastic surgery technology, and the comprehensive measures such as topical medication and local compression bandage are taken after operation, which can inhibit the growth of postoperative scar to the minimum, and this is the method with the highest cure rate. 3.Laser treatment Suitable for superficial capillary hemangioma, which can leave no scar or very slight scar, especially suitable for superficial hemangioma, or hemangioma that is difficult to be surgically excised in large area and multiple parts, without surgery, easy to accept. 4.Interventional surgery minimally invasive surgery, the ideal method, can effectively improve the effect of drugs on the tumor so as to avoid the harm of drugs on the surrounding tissues of hemangioma. 5.Cryotherapy Suitable for very small and superficial hemangioma, this method is easy to operate and low cost. 6.Radiation therapy (including radiation irradiation, isotope patch and intra-tumor injection) The harm of radioactive substances to human body is huge and long-lasting, and excessive radiation irradiation will make the development of organism stagnant or delayed, and form serious deformity, which will lead to endless troubles. As we know, children’s intellectual development is significant before puberty, and their bodies only begin to develop rapidly during puberty, so the delayed physical development caused by radiation therapy will only gradually become apparent during puberty. In addition, 20 to 30 years of follow-up of those who had received radiation therapy revealed that some patients developed serious diseases such as sarcoma, thyroid cancer, hypoparathyroidism, parotid adenoma, breast dysplasia, and internal carotid artery occlusion. Therefore, radiation therapy is, in principle, only suitable for a small number of adults and is prohibited in pediatric patients.